Advantages of visiting an in-network dentist

Share This Article

March 16th, 2016

Did you know there are great advantages—and cost savings—for seeking treatment from a Delta Dental participating dentist?

  • A Delta Dental participating dentist has signed a participating and membership agreement with Delta Dental.
  • The dentist has agreed to accept our allowable charge as payment in full for covered dental care. A participating dentist is not allowed to bill more than our allowable charge.
  • A Delta Dental participating dentist will also file the claim directly with us. We will make payment directly to the participating dentist and you will receive an explanation of benefits detailing your financial responsibility for any deductible or coinsurance amounts.

If dental services are received from a non-participating (out-of-network) dentist:

Reimbursement for the services will be paid directly to you, and you are responsible for paying your dentist.The allowances for services you receive from a non-participating dentist may be significantly less than what Delta Dental would pay a Delta Dental participating dentist. You may share more of the cost of your care and are responsible for the dental charges up to the dentist’s full-billed amount

How to verify that your dentist is a Delta Dental participating dentist:

By checking with your dentist or Delta Dental Customer Service (see the back of your ID card for the phone number), you are assured that your dentist is still participating in the network. Consult your benefit booklet for more information regarding your specific plan design. We suggest you verify a dentist’s participation status with Delta Dental or your dental office before each appointment.

It’s easy to use our newly updated online tool to find a dentist and/or specialist near you. Get started now!